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基于患者特征对关怀接触式自杀预防干预措施的差异性偏好。

Differential Preferences for the Caring Contacts Suicide Prevention Intervention Based on Patient Characteristics.

作者信息

Ammerman Brooke A, Gebhardt Heather M, Lee Jacob M, Tucker Raymond P, Matarazzo Bridget B, Reger Mark A

出版信息

Arch Suicide Res. 2020 Jul-Sep;24(3):301-312. doi: 10.1080/13811118.2019.1632231. Epub 2019 Aug 1.

Abstract

The Caring Contacts suicide prevention intervention has been promoted by the Joint Commission, given its effectiveness, high reach, and cost effectiveness. Despite its increased application, no study has examined whether patient characteristics influence perceptions of the intervention, which may inform implementation efforts and ultimately impact effectiveness. One hundred fifty-four veterans were recruited from a Veterans Affairs psychiatric inpatient unit. Participants completed a survey to provide feedback on preferences, including the message correspondent, format (e.g., postcard, email), the importance of handwriting (vs. typed), visual presentation, and schedule for mailings. Results demonstrated that Caring Contacts preferences did not differ by most variables, including military rank, combat deployment history, or most personal technology use characteristics. Some demographic differences were identified, especially by age. More older veterans preferred messages to be sent in a physical letter compared to younger veterans, but if messages were sent via postal mail, younger veterans had a stronger preference for messages to be handwritten and sent using real stamps and colorful envelopes. Overall, findings suggest that few Caring Contacts adaptations are needed based on patient characteristics. Programs targeting older cohorts should consider postal mail formats for Caring Contacts.

摘要

鉴于“关怀联络”自杀预防干预措施的有效性、广泛覆盖范围和成本效益,它已得到联合委员会的推广。尽管其应用越来越广泛,但尚无研究考察患者特征是否会影响对该干预措施的认知,而这可能会为实施工作提供信息,并最终影响其有效性。从一家退伍军人事务部精神科住院部招募了154名退伍军人。参与者完成了一项调查,以提供有关偏好的反馈,包括信息通信者、形式(如明信片、电子邮件)、笔迹(与打印相比)的重要性、视觉呈现以及邮寄时间表。结果表明,“关怀联络”的偏好大多不因变量而异,包括军衔、作战部署历史或大多数个人技术使用特征。发现了一些人口统计学差异,尤其是年龄方面的差异。与年轻退伍军人相比,更多老年退伍军人更喜欢通过实体信件发送信息,但如果通过邮政邮件发送信息,年轻退伍军人更强烈地倾向于信息采用手写形式,并使用真邮票和彩色信封发送。总体而言,研究结果表明,基于患者特征几乎无需对“关怀联络”进行调整。针对老年群体的项目应考虑采用邮政邮件形式进行“关怀联络”。

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